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1. 发明申请

WO2011044562A1 SINGLE INCISION LAPAROSCOPIC TISSUE RETRIEVAL SYSTEM 审中-公开
标题翻译：单一淋巴组织检查系统
公开(公告)号：WO2011044562A1
公开(公告)日：2011-04-14
申请号：PCT/US2010/052190
申请日：2010-10-11
申请人： APPLIED MEDICAL RESOURCES CORPORATION , TAYLOR, Scott, V. , KAHLE, Henry
发明人： TAYLOR, Scott, V. , KAHLE, Henry
IPC分类号： A61B17/00
CPC分类号： A61B17/221 , A61B17/00234 , A61B2017/00287
摘要： A tissue retrieval system (10) can include a tissue retrieval bag (20) with an elongate profile. The tissue retrieval bag can have a relatively large volume, but be rollable to a stowed configuration to fit in a relatively small diameter introducer (3). The tissue retrieval system can include one or more support arms (40) coupled to the tissue retrieval bag, the support arms biased to position the tissue retrieval bag in an access position once deployed from the introducer. A tissue retrieval system can have a hybrid tissue retrieval bag including material properties that vary along the depth of the bag from an open end to a closed end. A tissue retrieval bag can be used in conjunction with an introducer, or as a stand alone tissue retrieval bag.
摘要翻译：组织取出系统（10）可以包括具有细长轮廓的组织取回袋（20）。组织取回袋可以具有相对较大的体积，但是可以卷起到收起的构造以装配在相对较小直径的导引器（3）中。组织取回系统可以包括联接到组织取回袋的一个或多个支撑臂（40），所述支撑臂被偏置以将组织取出袋定位在从导引器展开的进入位置。组织检索系统可以具有混合组织取回袋，其包括随着袋的深度从开口端到封闭端而变化的材料性质。组织取出袋可以与导引器一起使用，或者作为独立组织取出袋使用。

2. 发明申请

WO2009117694A2 INSTRUMENT SEAL WITH INVERTING SHROUD 审中-公开
标题翻译： INSTRUMENT SEAL WITH INVERLY SHROUD
公开(公告)号：WO2009117694A2
公开(公告)日：2009-09-24
申请号：PCT/US2009/037863
申请日：2009-03-20
申请人： APPLIED MEDICAL RESOURCES CORPORATION , TAYLOR, Scott, V. , MCGINLEY, Kimball, B. , KAHLE, Henry
发明人： TAYLOR, Scott, V. , MCGINLEY, Kimball, B. , KAHLE, Henry
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B17/3474 , A61B2017/3435 , A61B2017/3464
摘要： A surgical access device comprising an instrument access channel extending through an instrument seal and a shroud comprising an inverting region disposed distally of the instrument seal exhibits improved tear-resistance of the instrument seal from instrument manipulation, for example, instrument withdrawals. Some embodiments of the inverting region invert through the instrument seal on instrument withdrawal. Some embodiments of the inverting region induce at least a portion of the instrument seal itself to invert on instrument withdrawal.
摘要翻译：手术进入装置包括延伸穿过仪器密封件的器械进入通道和包括设置在仪器密封件远端的反转区域的护罩，其显示出仪器密封件与仪器操纵（例如仪器取出）的改进的抗撕裂性。翻转区的一些实施例在仪器取出时反转通过仪器密封。反转区域的一些实施例引起仪器密封件本身的至少一部分在仪器取出时反转。

3. 发明申请

WO2007048085A2 TISSUE RETRIEVAL SYSTEM 审中-公开
标题翻译：组织检索系统
公开(公告)号：WO2007048085A2
公开(公告)日：2007-04-26
申请号：PCT/US2006060022
申请日：2006-10-16
申请人： APPLIED MED RESOURCES , KAHLE HENRY , JOHNSON GARY M , TAYLOR SCOTT V , BAK-BOYCHUCK GREGORY I
发明人： KAHLE HENRY , JOHNSON GARY M , TAYLOR SCOTT V , BAK-BOYCHUCK GREGORY I
IPC分类号： A61B17/00
CPC分类号： A61B17/221 , A61B17/00234 , A61B2017/00287 , A61B2017/00477
摘要： The tissue retrieval system deploys a tissue bag at the surgical site. The bag is supported by the system as tissue is placed within the bag and is closed to isolate the collected tissue and allow the bag and collected tissue to be removed from the body. The bag can be reopened and re-closed as desired through use of a guide bead and cord. The bead also facilitates removal of the collected tissue.
摘要翻译：组织检索系统在手术部位部署组织袋。由于组织被放置在袋内并被封闭以隔离收集的组织并允许袋和收集的组织从身体移除，所以袋被系统支撑。通过使用导向珠和绳索，可以根据需要重新打开袋子并重新关闭袋子。珠子还有利于去除收集的组织。

4. 发明申请

WO2005060844A1 SHIELDED SEPTUM TROCAR SEAL 审中-公开
公开(公告)号：WO2005060844A1
公开(公告)日：2005-07-07
申请号：PCT/US2004/040003
申请日：2004-11-30
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , KAHLE, Henry
发明人： ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , KAHLE, Henry
IPC分类号： A61B17/34
CPC分类号： A61B17/34 , A61B17/3496 , A61B17/3498
摘要： The invention is directed to a trocar assembly having a channel defined along an elongate axis, the trocar assembly comprising a septum seal (60) disposed in the channel including a seal tip (60a) having a proximal facing surface, the seal tip including portions defining an orifice; and a septum shield (70) including a tubular member having a proximal end and a distal end, and a plurality of blades or leaflets protruding distally from the distal end of the tubular member, the septum shield being placed inside the septum seal such that the blades engage the proximal facing surface of the seal tip. The septum shield operates to reduce the drag force and to minimize axial movement of the septum shield and the instrument during insertion and removal of the instrument through the septum seal.
摘要翻译：本发明涉及一种具有沿细长轴限定的通道的套管针组件，套管针组件包括设置在通道中的隔膜密封件（60），其包括具有近侧相对表面的密封末端（60a），密封末端包括限定孔口以及包括具有近端和远端的管状构件的隔膜（70）和从所述管状构件的远端向远侧突出的多个叶片或小叶，所述隔膜护罩放置在所述隔膜密封件的内部，使得叶片接合密封末端的面向近侧的表面。隔垫屏蔽件用于减小阻力并且在通过隔膜密封件插入和移除仪器期间最小化隔膜屏蔽件和仪器的轴向移动。

5. 发明申请

WO2005032348A2 BLADELESS OPTICAL OBTURATOR 审中-公开
标题翻译：无光学光学器件
公开(公告)号：WO2005032348A2
公开(公告)日：2005-04-14
申请号：PCT/US2004032346
申请日：2004-10-01
申请人： APPLIED MED RESOURCES , KAHLE HENRY , STROKOSZ ARKADIUSZ A , MCGINLEY KIMBALL B , TAYLOR SCOTT V , JOHNSON GARY M , BRUSTAD JOHN R
发明人： KAHLE HENRY , STROKOSZ ARKADIUSZ A , MCGINLEY KIMBALL B , TAYLOR SCOTT V , JOHNSON GARY M , BRUSTAD JOHN R
IPC分类号： A61B20060101 , A61B17/00 , A61B17/32 , A61B17/34 , A61B19/00 , A61B
CPC分类号： A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要： The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.
摘要翻译：本发明涉及一种无插管套管针闭塞器，用于在插入穿过体壁时分离或分离身体组织。一方面，本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖，所述外表面向远侧延伸到钝点，一对侧部具有共同的形状并且被至少一个中间体其中每个所述侧部分从所述钝点径向向外延伸，并具有沿所述轴向近端的渐进位置，并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。通过这个方面，锥形配置便于分离身体组织的不同层，并提供顶层在层之间的适当对准。侧部包括远端部分和近端部分，侧部分的远侧部分相对于侧部部分的近端部分径向扭转。中间部分包括远端部分和近端部分，中间部分的远端部分在第一径向方向上扭转，并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。

6. 发明申请

WO2004073487A3 SURGICAL CLIP AND METHOD FOR MAKING SAME 审中-公开
标题翻译：外科剪辑及其制作方法
公开(公告)号：WO2004073487A3
公开(公告)日：2005-01-27
申请号：PCT/US2004002862
申请日：2004-02-02
申请人： APPLIED MED RESOURCES , HART CHARLES C , KAHLE HENRY , SAKAKINE GHASSAN
发明人： HART CHARLES C , KAHLE HENRY , SAKAKINE GHASSAN
IPC分类号： A61B20060101 , A61B17/08
CPC分类号： A61B17/08 , A61B17/083 , A61B17/1227 , A61B2017/00946 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135
摘要： An improved clip or clamp (100) is provided having a one-piece wire-form construction that is suited for rapid and repeatable manufacture. The clamp, which may be disposable or reusable, includes a first jaw portion (102), a second jaw portion (104), a first handle portion (108), a second handle portion (110) and a central coil or tensioning device (106), all of which are formed from a single piece of wire. The central coil or tensioning device comprises one or more turns. The handle portions may include ring-shaped distal ends (108a, 110a) that further enhance grip. The jaw portions may be shaped, curved, bent or otherwise configured to provide access to specific areas of a procedure. The clamp may be coated with a material providing improved traction and padding.
摘要翻译：提供了一种改进的夹子或夹具（100），其具有适合于快速和可重复制造的一体式线形结构。夹具可以是一次性的或可重复使用的，包括第一钳口部分（102），第二钳口部分（104），第一手柄部分（108），第二手柄部分（110）和中心线圈或张紧装置 106），所有这些都由单根电线形成。中心线圈或张紧装置包括一个或多个匝。手柄部分可以包括进一步增强抓地力的环形的远端（108a，110a）。钳口部分可以成形，弯曲，弯曲或以其他方式构造成提供对程序的特定区域的访问。夹具可以涂覆有提供改进的牵引和填充的材料。

7. 发明申请

WO2012045087A3 LAPAROSCOPIC TISSUE RETRIEVAL SYSTEM 审中-公开
标题翻译： LAPAROSCOPIC组织检索系统
公开(公告)号：WO2012045087A3
公开(公告)日：2013-05-23
申请号：PCT/US2011054647
申请日：2011-10-03
申请人： APPLIED MED RESOURCES , TAYLOR SCOTT V , KAHLE HENRY
发明人： TAYLOR SCOTT V , KAHLE HENRY
IPC分类号： A61B10/02
CPC分类号： A61B17/221 , A61B17/00234 , A61B2017/00287 , A61B2017/00292
摘要： A tissue retrieval system can contain and withdraw excised tissue specimens from within a body cavity. The tissue retrieval system can include a tissue retrieval bag, a foldable actuator, and an introducer. The foldable actuator can be foldable between an insertion configuration for placement through an access device without the aid of a grasper or applicator, and a deployed configuration for supporting the tissue retrieval bag in an open state. The actuator can have a foldable handle to facilitate withdrawal from the body cavity. After insertion of the tissue specimens into the retrieval bag, the retrieval bag is then cinched closed to prevent spillage of its contents and to prevent contamination of the body cavity and body cavity wall during withdrawal of the retrieval bag from within the body cavity.
摘要翻译：组织检索系统可以从体腔内容纳和抽出切除的组织标本。组织检索系统可以包括组织取回袋，可折叠致动器和导引器。可折叠致动器可以在插入构造之间折叠，以便借助于抓紧器或涂抹器而不经由进入装置进行放置，以及用于在打开状态下支撑组织取出袋的展开构造。致动器可以具有可折叠的手柄以便于从体腔排出。在将组织标本插入取回袋中之后，将取出袋关闭以防止其内容物溢出，并且在将取出袋从体腔内取出期间防止体腔和体腔壁被污染。

8. 发明申请

WO2010081105A1 PLEATED TROCAR SHIELD 审中-公开
公开(公告)号：WO2010081105A1
公开(公告)日：2010-07-15
申请号：PCT/US2010/020663
申请日：2010-01-11
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , GADBERRY, Donald, L. , KAHLE, Henry , TAYLOR, Scott, V. , McGINLEY, Kimball B.
发明人： ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , GADBERRY, Donald, L. , KAHLE, Henry , TAYLOR, Scott, V. , McGINLEY, Kimball B.
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar (1000) defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula (1100) and a seal assembly (1200) disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal (1240), a second or instrument seal (1250), and a trocar shield (1260) disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel The trocar shield comprises an open proximal end (1262) and a tapered distal end (1264) comprising a plurality of longitudinal pleats (1268), converging in an opening (1270).
摘要翻译：外科进入装置或套管针（1000）限定了从近端到其远端延伸的器械的通道。套管针包括套管（1100）和设置在套管近端的密封组件（1200）。密封组件包括设置在第一密封件和第二密封件的近侧的第一或零密封件（1240），第二或仪器密封件（1250）和套管针护罩（1260）。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。套管针护罩保护第一密封和第二密封免受器械前进通过进入通道的损伤套管针罩包括一个开放的近端（1262）和一个锥形的远端（1264），包括多个纵向褶（1268），会聚在一个开口（1270）中。

9. 发明申请

WO2005032331A3 SURGICAL INSTRUMENT ACCESS DEVICE 审中-公开
标题翻译：手术仪器访问装置
公开(公告)号：WO2005032331A3
公开(公告)日：2006-09-08
申请号：PCT/US2004028250
申请日：2004-08-30
申请人： APPLIED MED RESOURCES , KAHLE HENRY , ADLPARVAR PAYAM , JOHNSON GARY M
发明人： KAHLE HENRY , ADLPARVAR PAYAM , JOHNSON GARY M
IPC分类号： A61B1/32 , A61B17/00 , A61B17/34
CPC分类号： A61B17/3423 , A61B5/024 , A61B5/0507 , A61B5/08 , A61B5/6889 , A61B5/6898 , A61B17/0293 , A61B17/3431 , A61B17/3498 , A61B2017/00526
摘要： A surgical access device includes a single valve that forms a seal with a body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal for an instrument having a diameter up to about 37 mm. The valve can include a gel material and the access channel can include a protective sleeve to provide for wound protection during insertion and withdrawal of a sharp surgical instrument. The valve further comprises a cap ring which may be inserted or molded with the gel material. The protective sleeve may be bonded or molded around an inner diameter of the cap ring. The protective sleeve may be a single tubular member, or may comprise a plurality of axially extending sleeve members having a plurality of axial slits. The protective sleeve and the cap ring may comprise of the same or different materials. The surgical access device further comprises at least one support ring disposed circumferentially of the valve forming a hollow space, and a wound retractor operatively placed in the hollow space. The wound retractor includes an inner ring, an outer ring, and a flexible sleeve connecting the inner ring and the outer ring.
摘要翻译：手术进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。该阀具有用于在不存在仪器的情况下产生零密封的特性，以及用于具有高达约37mm直径的仪器的仪器密封件。阀可以包括凝胶材料，并且进入通道可以包括保护套筒，以在插入和抽出锋利的外科器械时提供伤口保护。阀还包括可以用凝胶材料插入或模制的盖环。保护套可以围绕盖环的内径粘合或模制。保护套筒可以是单个管状构件，或者可以包括具有多个轴向狭缝的多个轴向延伸的套筒构件。保护套和盖环可以由相同或不同的材料组成。外科进入装置还包括形成中空空间的阀周向布置的至少一个支撑环和可操作地放置在中空空间中的缠绕牵开器。卷绕卷收器包括内圈，外圈和连接内圈和外圈的柔性套管。

10. 发明申请

WO2005030293A3 ANTI-INVERSION TROCAR SEAL 审中-公开
标题翻译：防反射密封
公开(公告)号：WO2005030293A3
公开(公告)日：2006-08-03
申请号：PCT/US2004031485
申请日：2004-09-23
申请人： APPLIED MED RESOURCES , HART CHARLES C , KAHLE HENRY , TAYLOR SCOTT V
发明人： HART CHARLES C , KAHLE HENRY , TAYLOR SCOTT V
IPC分类号： A61M5/178 , A61B17/34
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/3464
摘要： The invention is directed to a trocar seal adapted to form a seal around a surgical instrument, the trocar seal comprising a housing having an axis extending between a proximal end and a distal end and forming a working channel sized and configured to receive the surgical instrument; an elastomeric septum seal having a proximal face and a distal face, the septum seal being disposed in the housing and extending transverse to the axis of the housing across the working channel.
摘要翻译：本发明涉及适于在外科器械周围形成密封的套针针密封件，套管针密封件包括具有在近端和远端之间延伸的轴线的壳体，并形成尺寸和构造成接收外科器械的工作通道; 具有近端面和远侧面的弹性隔膜密封件，所述隔膜密封件设置在所述壳体中并横跨所述工作通道横向于所述壳体的轴线延伸。

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